REGISTRATION

For Ages 8-12

Week 1: August 18-22, 2025 (North Buffalo @ Yard Art)
Week 2: August 25-29, 2025 (Downtown @ Hunt Art Gallery)
9am-12pm
Max of 8 Students Per week
$250 per week*

I am so excited that your camper will be joining me this summer for photography fun. Please fill out the form below and submit payment to complete your registration.

Camper Name

First Name

Last Name

Type of camera or device camper will be using:

Health Insurance Company & Policy Number

Please list any allergies (food, medications, insects, etc):

Please list any illnesses or concerns while at camp:

Please list any medications to be taken at camp:

Two Emergency Contacts Names & Phone Numbers:

TO THE PARENT OR GUARDIAN; I, THE UNDERSIGNED, APPROVE THE CAMP APPLICATION AND EXPRESSLY WAIVE ANY AND ALL CLAIMS AGAINST YOUR PHOTO STUDIO, IT’S MANAGER, STAFF OR REPRESENTATIVES BECAUSE OF ANY INJURY OR DAMAGE THAT MAY BE INCURRED TO THE NAMED APPLICANT. I ALSO AUTHORIZE THE CAMP TO ACT IN THE BEST INTEREST OF EACH CAMPER IN THE EVENT OF A MEDICAL EMERGENCY. (Typing your name here acts as your electronic signature.)

Date

YYYY

Payment Options: $250 per week. Please check your preferred method:

Venmo to @Andrea-Wenglowskyj

Check to 114 Huntington Ave Buffalo, NY 14214

REGISTRATION

For Ages 8-12

Week 1: August 18-22, 2025 (North Buffalo @ Yard Art)Week 2: August 25-29, 2025 (Downtown @ Hunt Art Gallery)9am-12pmMax of 8 Students Per week$250 per week*

I am so excited that your camper will be joining me this summer for photography fun. Please fill out the form below and submit payment to complete your registration.

Week 1: August 18-22, 2025 (North Buffalo @ Yard Art)
Week 2: August 25-29, 2025 (Downtown @ Hunt Art Gallery)
9am-12pm
Max of 8 Students Per week
$250 per week*